Weak detrusor contractility correlates with motor disorders in Parkinson's disease.
Identifieur interne : 000B56 ( Main/Exploration ); précédent : 000B55; suivant : 000B57Weak detrusor contractility correlates with motor disorders in Parkinson's disease.
Auteurs : Keiichiro Terayama [Japon] ; Ryuji Sakakibara ; Akihiro Ogawa ; Hiroyuki Haruta ; Takashi Akiba ; Takeki Nagao ; Osamu Takahashi ; Megumi Sugiyama ; Akihiko Tateno ; Fuyuki Tateno ; Masashi Yano ; Masahiko Kishi ; Yohei Tsuyusaki ; Tomoyuki Uchiyama ; Tatsuya YamamotoSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Female, Gait (physiology), Humans, Male, Middle Aged, Muscle Weakness (etiology), Muscle Weakness (physiopathology), Parkinson Disease (complications), Task Performance and Analysis, Urinary Bladder (physiopathology), Urinary Bladder, Overactive (complications), Urination (physiology), Urodynamics (physiology), Walking (physiology).
- MESH :
- complications : Parkinson Disease, Urinary Bladder, Overactive.
- etiology : Muscle Weakness.
- physiology : Gait, Urination, Urodynamics, Walking.
- physiopathology : Muscle Weakness, Urinary Bladder.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Task Performance and Analysis.
Abstract
Limited attention has been paid to the relationship between urinary symptoms or urodynamic findings and motor disorders in Parkinson's disease (PD). We aimed to correlate pressure-flow urodynamic parameters with video-gait analysis parameters in PD. We recruited 41 patients with PD (25 men and 16 women; age, 70.6 ± 8.5 years; H & Y motor grading: 2 [range, 1-3]; disease duration: 4 years [range, 1-7]; taking levodopa 300 mg/day [range, 100-400]). All patients underwent pressure-flow urodynamics (parameters: first sensation, bladder capacity, detrusor overactivity [noted in 24 patients], and Watts factor [WF]) and video-gait analysis (parameters: time and number of strides for 5-m gait [simple task] and time for timed up and go [complex task]). Statistical analysis was made by Mann-Whitney's U-test for analyzing the relation between detrusor overactivity and gait as well as Spearman's rank-correlation coefficient test for analyzing the relation between the remaining parameters and gait. We found no relation between filling-phase urodynamics (detrusor overactivity, first sensation, and bladder capacity) and video-gait analysis parameters. By contrast, we found a significant relation between voiding-phase urodynamics (WF, reflecting detrusor power) and all three video-gait analysis parameters (reflecting lower-half bradykinesia and loss of postural reflex) in our PD patients (P < 0.01). The close relation between the WF and motor disorders in the present study suggests that, though clinically mild, a weak detrusor in PD might have a central origin. We should follow postvoid residual volume carefully in PD patients with advanced gait disorder, because postvoid residual volume might increase in such patients.
DOI: 10.1002/mds.25225
PubMed: 23080035
Affiliations:
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Hiroyuki" uniqKey="Haruta H" first="Hiroyuki" last="Haruta">Hiroyuki Haruta</name></author><author><name sortKey="Akiba, Takashi" sort="Akiba, Takashi" uniqKey="Akiba T" first="Takashi" last="Akiba">Takashi Akiba</name></author><author><name sortKey="Nagao, Takeki" sort="Nagao, Takeki" uniqKey="Nagao T" first="Takeki" last="Nagao">Takeki Nagao</name></author><author><name sortKey="Takahashi, Osamu" sort="Takahashi, Osamu" uniqKey="Takahashi O" first="Osamu" last="Takahashi">Osamu Takahashi</name></author><author><name sortKey="Sugiyama, Megumi" sort="Sugiyama, Megumi" uniqKey="Sugiyama M" first="Megumi" last="Sugiyama">Megumi Sugiyama</name></author><author><name sortKey="Tateno, Akihiko" sort="Tateno, Akihiko" uniqKey="Tateno A" first="Akihiko" last="Tateno">Akihiko Tateno</name></author><author><name sortKey="Tateno, Fuyuki" sort="Tateno, Fuyuki" uniqKey="Tateno F" first="Fuyuki" last="Tateno">Fuyuki Tateno</name></author><author><name sortKey="Yano, Masashi" sort="Yano, Masashi" uniqKey="Yano M" first="Masashi" last="Yano">Masashi Yano</name></author><author><name sortKey="Kishi, Masahiko" sort="Kishi, Masahiko" uniqKey="Kishi M" first="Masahiko" last="Kishi">Masahiko Kishi</name></author><author><name sortKey="Tsuyusaki, Yohei" sort="Tsuyusaki, Yohei" uniqKey="Tsuyusaki Y" first="Yohei" last="Tsuyusaki">Yohei Tsuyusaki</name></author><author><name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name></author><author><name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1002/mds.25225</idno><idno type="RBID">pubmed:23080035</idno><idno type="pmid">23080035</idno><idno type="wicri:Area/PubMed/Corpus">000C03</idno><idno type="wicri:Area/PubMed/Curation">000C03</idno><idno 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Sakura</wicri:regionArea><wicri:noRegion>Sakura</wicri:noRegion></affiliation></author><author><name sortKey="Sakakibara, Ryuji" sort="Sakakibara, Ryuji" uniqKey="Sakakibara R" first="Ryuji" last="Sakakibara">Ryuji Sakakibara</name></author><author><name sortKey="Ogawa, Akihiro" sort="Ogawa, Akihiro" uniqKey="Ogawa A" first="Akihiro" last="Ogawa">Akihiro Ogawa</name></author><author><name sortKey="Haruta, Hiroyuki" sort="Haruta, Hiroyuki" uniqKey="Haruta H" first="Hiroyuki" last="Haruta">Hiroyuki Haruta</name></author><author><name sortKey="Akiba, Takashi" sort="Akiba, Takashi" uniqKey="Akiba T" first="Takashi" last="Akiba">Takashi Akiba</name></author><author><name sortKey="Nagao, Takeki" sort="Nagao, Takeki" uniqKey="Nagao T" first="Takeki" last="Nagao">Takeki Nagao</name></author><author><name sortKey="Takahashi, Osamu" sort="Takahashi, Osamu" uniqKey="Takahashi O" first="Osamu" last="Takahashi">Osamu Takahashi</name></author><author><name sortKey="Sugiyama, Megumi" sort="Sugiyama, Megumi" uniqKey="Sugiyama M" first="Megumi" last="Sugiyama">Megumi Sugiyama</name></author><author><name sortKey="Tateno, Akihiko" sort="Tateno, Akihiko" uniqKey="Tateno A" first="Akihiko" last="Tateno">Akihiko Tateno</name></author><author><name sortKey="Tateno, Fuyuki" sort="Tateno, Fuyuki" uniqKey="Tateno F" first="Fuyuki" last="Tateno">Fuyuki Tateno</name></author><author><name sortKey="Yano, Masashi" sort="Yano, Masashi" uniqKey="Yano M" first="Masashi" last="Yano">Masashi Yano</name></author><author><name sortKey="Kishi, Masahiko" sort="Kishi, Masahiko" uniqKey="Kishi M" first="Masahiko" last="Kishi">Masahiko Kishi</name></author><author><name sortKey="Tsuyusaki, Yohei" sort="Tsuyusaki, Yohei" uniqKey="Tsuyusaki Y" first="Yohei" last="Tsuyusaki">Yohei Tsuyusaki</name></author><author><name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name></author><author><name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Gait (physiology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Muscle Weakness (etiology)</term><term>Muscle Weakness (physiopathology)</term><term>Parkinson Disease (complications)</term><term>Task Performance and Analysis</term><term>Urinary Bladder (physiopathology)</term><term>Urinary Bladder, Overactive (complications)</term><term>Urination (physiology)</term><term>Urodynamics (physiology)</term><term>Walking (physiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term><term>Urinary Bladder, Overactive</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscle Weakness</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Urination</term><term>Urodynamics</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle Weakness</term><term>Urinary Bladder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Task Performance and Analysis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Limited attention has been paid to the relationship between urinary symptoms or urodynamic findings and motor disorders in Parkinson's disease (PD). We aimed to correlate pressure-flow urodynamic parameters with video-gait analysis parameters in PD. We recruited 41 patients with PD (25 men and 16 women; age, 70.6 ± 8.5 years; H & Y motor grading: 2 [range, 1-3]; disease duration: 4 years [range, 1-7]; taking levodopa 300 mg/day [range, 100-400]). All patients underwent pressure-flow urodynamics (parameters: first sensation, bladder capacity, detrusor overactivity [noted in 24 patients], and Watts factor [WF]) and video-gait analysis (parameters: time and number of strides for 5-m gait [simple task] and time for timed up and go [complex task]). Statistical analysis was made by Mann-Whitney's U-test for analyzing the relation between detrusor overactivity and gait as well as Spearman's rank-correlation coefficient test for analyzing the relation between the remaining parameters and gait. We found no relation between filling-phase urodynamics (detrusor overactivity, first sensation, and bladder capacity) and video-gait analysis parameters. By contrast, we found a significant relation between voiding-phase urodynamics (WF, reflecting detrusor power) and all three video-gait analysis parameters (reflecting lower-half bradykinesia and loss of postural reflex) in our PD patients (P < 0.01). The close relation between the WF and motor disorders in the present study suggests that, though clinically mild, a weak detrusor in PD might have a central origin. We should follow postvoid residual volume carefully in PD patients with advanced gait disorder, because postvoid residual volume might increase in such patients.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Akiba, Takashi" sort="Akiba, Takashi" uniqKey="Akiba T" first="Takashi" last="Akiba">Takashi Akiba</name><name sortKey="Haruta, Hiroyuki" sort="Haruta, Hiroyuki" uniqKey="Haruta H" first="Hiroyuki" last="Haruta">Hiroyuki Haruta</name><name sortKey="Kishi, Masahiko" sort="Kishi, Masahiko" uniqKey="Kishi M" first="Masahiko" last="Kishi">Masahiko Kishi</name><name sortKey="Nagao, Takeki" sort="Nagao, Takeki" uniqKey="Nagao T" first="Takeki" last="Nagao">Takeki Nagao</name><name sortKey="Ogawa, Akihiro" sort="Ogawa, Akihiro" uniqKey="Ogawa A" first="Akihiro" last="Ogawa">Akihiro Ogawa</name><name sortKey="Sakakibara, Ryuji" sort="Sakakibara, Ryuji" uniqKey="Sakakibara R" first="Ryuji" last="Sakakibara">Ryuji Sakakibara</name><name sortKey="Sugiyama, Megumi" sort="Sugiyama, Megumi" uniqKey="Sugiyama M" first="Megumi" last="Sugiyama">Megumi Sugiyama</name><name sortKey="Takahashi, Osamu" sort="Takahashi, Osamu" uniqKey="Takahashi O" first="Osamu" last="Takahashi">Osamu Takahashi</name><name sortKey="Tateno, Akihiko" sort="Tateno, Akihiko" uniqKey="Tateno A" first="Akihiko" last="Tateno">Akihiko Tateno</name><name sortKey="Tateno, Fuyuki" sort="Tateno, Fuyuki" uniqKey="Tateno F" first="Fuyuki" last="Tateno">Fuyuki Tateno</name><name sortKey="Tsuyusaki, Yohei" sort="Tsuyusaki, Yohei" uniqKey="Tsuyusaki Y" first="Yohei" last="Tsuyusaki">Yohei Tsuyusaki</name><name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name><name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name><name sortKey="Yano, Masashi" sort="Yano, Masashi" uniqKey="Yano M" first="Masashi" last="Yano">Masashi Yano</name></noCountry><country name="Japon"><noRegion><name sortKey="Terayama, Keiichiro" sort="Terayama, Keiichiro" uniqKey="Terayama K" first="Keiichiro" last="Terayama">Keiichiro Terayama</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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